Dr Kristin Nelson, OD, IACMM is a medicare enrolled "Optometrist" provider in Fort Myers Beach, Florida. She went to Southern College Of Optometry and graduated in 2020 and has 6 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Lee Health System Inc and her current practice location is
11390 Summerlin Square Dr, Fort Myers Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 343-8880.
Dr Kristin Nelson is licensed to practice in Illinois (license number 046011423) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447874060.
Healthcare Provider's Profile
| Full Name | Dr Kristin Nelson |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 6 Years |
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| Location | 11390 Summerlin Square Dr, Fort Myers Beach, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kristin Nelson attended and graduated from Southern College Of Optometry in 2020
NPI Data:
- NPI Number: 1447874060
- Provider Enumeration Date: 05/29/2020
- Last Update Date: 10/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850714320
- Enrollment ID: I20231011001029
Medical Identifiers
Medical identifiers for Dr Kristin Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447874060 | NPI | - | NPPES |
| 119758500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WV0400X | Optometrist - Vision Therapy | 0466011423 (Illinois) | Secondary |
| 152WP0200X | Optometrist - Pediatrics | 046011423 (Illinois) | Secondary |
| 152W00000X | Optometrist | OPC6206 (Florida) | Secondary |
| 152W00000X | Optometrist | 046011423 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Lee Health System Inc | 9335672146 | 1153 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kristin Nelson allows following entities to bill medicare on her behalf.
| Provider Name | Lee Memorial Health System |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1992873319
PECOS PAC ID: 8729996608
Enrollment ID: O20031118000604 |
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| Provider Name | Lee Health System Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1942058557
PECOS PAC ID: 9335672146
Enrollment ID: O20241114001576 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kristin Nelson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kristin Nelson, OD, IACMM
Po Box 2147,
Fort Myers, FL 33902-2147
Ph: (239) 343-8880 | Dr Kristin Nelson, OD, IACMM
11390 Summerlin Square Dr,
Fort Myers Beach, FL 33931-5300
Ph: (239) 343-8880 |
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